title: Cardiac transplantation in situs inversus: two cases reports.
abstract: The challenge of heart transplantation in patients with situs inversus is reconstruction of the systemic venous return. Herein we have presented 2 cases of complex congenital heart disease with atriovisceral situs inversus. Both of the patients shared many common cardiac anomalies, such as a single ventricle, a single AV valve with severe regurgitation, and severe pulmonary stenosis. We completed the venous connection in 2 different ways. In the first case, the donor inferior vena cava (IVC) was anastomosed to the recipient left-sided IVC directly, making the heart slightly counterclockwise rotated. In the second case, the IVC venous reconnection was accomplished by a composite conduit made of recipient right atrium.
authors.affiliation: Heart Center, Cheng-Hsin General Hospital, Taipei, Taiwan, R.O.C.
authors.forename: Y L
authors.initials: YL
authors.lastname: Chang
authors.forename: J
authors.initials: J
authors.lastname: Wei
authors.forename: C-Y
authors.initials: CY
authors.lastname: Chang
authors.forename: Y-C
authors.initials: YC
authors.lastname: Chuang
authors.forename: S-H
authors.initials: SH
authors.lastname: Sue
mesh_terms: D000293:Adolescent; D000714:Anastomosis, Surgical; D004562:Electrocardiography; D017809:Fatal Outcome; D005260:Female; D007839:Functional Laterality; D016027:Heart Transplantation; D006801:Humans; D012857:Situs Inversus / Q000601:surgery*; D014682:Vena Cava, Inferior / Q000601:surgery